Title:Pulmonary Valve Endocarditis: A Case Report
Volume: 21
Issue: 6
Author(s): Mahboubeh Hajiabdolbaghi, Arsis Ahmadieh, SeyedAhmad SeyedAlinaghi and Maliheh Hassan Nezhad*
Affiliation:
- Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences,Iran
Keywords:
Pulmonary valve, infective endocarditis, angiography, transesophageal echocardiography, vegetation, systolic
dysfunction.
Abstract: Background: Isolated pulmonary valve endocarditis (PVE) is an extremely uncommon
clinical finding comprising less than 1.5-2% of cases for infective endocarditis. It is a challenging
condition to diagnose mainly because of nonspecific signs and symptoms at presentation.
Case Presentation: A 58-year-old married and retired man was admitted to a community hospital
for evaluation of chest pain. Transesophageal echocardiography (TEE), 2 days after, revealed
semi-mobile vegetation on the pulmonary valve and pulmonary artery wall. Moreover, occlude devices
at the root of the aorta, and the pulmonary artery was seen. Left ventricular ejection fraction
(LVEF) with systolic dysfunction, mild aortic insufficiency (AI), mild tricuspid regurgitation (pulmonary
artery pressure of 50 mmHg) without pericardial effusion, was also reported in the Echocardiography.
Blood cultures, viral markers, and Brucella IgG and IgM titration were negative during
the admission. The patient received a 4-week course of intravenous antibiotic therapy, including
Ceftriaxone and Teicoplanin (Targocid).
